State of Illinois
90th General Assembly
Legislation

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[ House Amendment 001 ]

90_HB0202sam001

                                           LRB9001424LDdvam10
 1                     AMENDMENT TO HOUSE BILL 202
 2        AMENDMENT NO.     .  Amend House Bill  202  by  replacing
 3    everything after the enacting clause with the following:
 4        "Section 3.  The Civil Administrative Code of Illinois is
 5    amended by adding Sections 55.84 and 55.85 as follows:
 6        (20 ILCS 2310/55.84 new)
 7        Sec. 55.84. Advisory committee concerning construction of
 8    facilities.   The  Director of Public Health shall appoint an
 9    advisory committee which committee shall  be  established  by
10    the  Department  by  rule.   The  Director and the Department
11    shall consult with  the  advisory  committee  concerning  the
12    application of building codes and Department rules related to
13    those  building  codes  to  facilities  under  the Ambulatory
14    Surgical Treatment Center Act, the Nursing Home Care Act, and
15    the Hospital Licensing Act.
16        (20 ILCS 2310/55.85 new)
17        Sec. 55.85.  Facility construction training program.  The
18    Department  shall  conduct,  at  least  annually,   a   joint
19    in-service   training   program  for  architects,  engineers,
20    interior  designers,  and  other  persons  involved  in   the
21    construction  of  a  facility  under  the Ambulatory Surgical
                            -2-            LRB9001424LDdvam10
 1    Treatment Center Act, the  Nursing  Home  Care  Act,  or  the
 2    Hospital Licensing Act on problems and issues relating to the
 3    construction of facilities under any of those Acts.
 4        Section  5.  The  State  Finance Act is amended by adding
 5    Section 5.449 as follows:
 6        (30 ILCS 105/5.449 new)
 7        Sec. 5.449. The Health Facility Plan Review Fund.
 8        Section 10. The Ambulatory Surgical Treatment Center  Act
 9    is amended by changing Section 8 as follows:
10        (210 ILCS 5/8) (from Ch. 111 1/2, par. 157-8.8)
11        Sec. 8. Facility plan review; fees.
12        (a)  Before  commencing construction of new facilities or
13    specified types of alteration or  additions  to  an  existing
14    ambulatory   surgical   treatment   center   involving  major
15    construction, as defined by rule by the Department,  or  with
16    an estimated cost greater than $5,000, architectural drawings
17    and   specifications  therefor  shall  be  submitted  to  the
18    Department for review and approval. Review  of  drawings  and
19    specifications  shall  be  conducted  by  an  employee of the
20    Department meeting  the  qualifications  established  by  the
21    Department    of    Central    Management    Services   class
22    specifications for such an  individual's  position  or  by  a
23    person  contracting with the Department who meets those class
24    specifications.  Final   approval   of   the   drawings   and
25    specifications  for  compliance  with design and construction
26    standards shall be obtained from the  Department  before  the
27    alteration, addition, or new construction is begun.
28        (b)  The  Department shall approve or disapprove drawings
29    and specifications submitted to the Department no later  than
30    60  days  following  receipt by the Department.  The drawings
                            -3-            LRB9001424LDdvam10
 1    and specifications shall be of sufficient detail, as provided
 2    by Department rule, to enable  the  Department  to  render  a
 3    determination  of  compliance  with  design  and construction
 4    standards.  If the Department finds that the drawings are not
 5    of sufficient detail for it  to  render  a  determination  of
 6    compliance,  the  plans  shall be determined to be incomplete
 7    and shall not be considered for purposes of initiating the 60
 8    day review period.  If the Department  has  not  approved  or
 9    disapproved  the  drawings and specifications within 60 days,
10    the construction, major  alteration,  or  addition  shall  be
11    deemed  approved.   If  the  drawings  and specifications are
12    disapproved, the Department  shall  state  in  writing,  with
13    specificity,  the  reasons  for  the disapproval.  The entity
14    submitting  the  drawings  and  specifications   may   submit
15    additional  information  in  response to the written comments
16    from the Department  or  request  a  reconsideration  of  the
17    disapproval.    A  final  decision of approval or disapproval
18    shall be made within 45 days of the receipt of the additional
19    information  or  reconsideration  request.   If  denied,  the
20    Department shall state the specific reasons for the denial.
21        (c)  The Department shall not  issue  a  violation  to  a
22    facility as a result of a licensure or complaint survey based
23    upon the facility's physical structure if:
24             (1)  the  Department reviewed and approved or deemed
25        approved the drawings and specifications  for  compliance
26        with design and construction standards;
27             (2)  the construction, major alteration, or addition
28        was built as submitted;
29             (3)  the  law  or  rules have not been amended since
30        the original approval; and
31             (4)  the violation does not create a  direct  threat
32        to the health, safety, or welfare of a resident.
33        (d)  The  Department  shall  charge the following fees in
34    connection with its reviews conducted before  June  30,  2000
                            -4-            LRB9001424LDdvam10
 1    under this Section:
 2             (1)  If   the   estimated   dollar   value   of  the
 3        alteration, addition, or new construction  is  $5,000  or
 4        more  but less than $25,000, the fee shall be the greater
 5        of $300 or 6% of that value.
 6             (2)  If  the   estimated   dollar   value   of   the
 7        alteration,  addition,  or new construction is $25,000 or
 8        more but less than $100,000, the fee shall be the greater
 9        of $1,500 or 2.4% of that value.
10             (3)  If  the   estimated   dollar   value   of   the
11        alteration,  addition, or new construction is $100,000 or
12        more but less than $500,000, the fee shall be the greater
13        of $2,400 or 1.2% of that value.
14             (4)  If  the   estimated   dollar   value   of   the
15        alteration,  addition, or new construction is $500,000 or
16        more but less than  $1,000,000,  the  fee  shall  be  the
17        greater of $6,000 or 0.96% of that value.
18             (5)  If   the   estimated   dollar   value   of  the
19        alteration, addition, or new construction  is  $1,000,000
20        or  more  but  less than $5,000,000, the fee shall be the
21        greater of $9,600 or 0.22% of that value.
22             (6)  If  the   estimated   dollar   value   of   the
23        alteration,  addition,  or new construction is $5,000,000
24        or more, the fee shall be the greater of $11,000 or 0.11%
25        of that value, but shall not exceed $40,000.
26        The fees provided in this subsection (d) shall not  apply
27    to  major  construction  projects  involving facility changes
28    that are required by Department rule amendments.
29        The Department  shall  not  commence  the  facility  plan
30    review  process  under  this Section until the applicable fee
31    has been paid.
32        (e)  All fees  received  by  the  Department  under  this
33    Section  shall  be  deposited  into  the Health Facility Plan
34    Review Fund, a special fund created in  the  State  Treasury.
                            -5-            LRB9001424LDdvam10
 1    Moneys shall be appropriated from that Fund to the Department
 2    only  to  pay  the  costs  of  conducting  reviews under this
 3    Section. None of the  moneys  in  the  Health  Facility  Plan
 4    Review  Fund  shall  be  used to reduce the amount of General
 5    Revenue  Fund  moneys  appropriated  to  the  Department  for
 6    facility plan reviews conducted pursuant to this Section.
 7        (f) (1)  The provisions of this amendatory  Act  of  1997
 8        concerning  drawings  and specifications shall apply only
 9        to  drawings  and   specifications   submitted   to   the
10        Department on or after October 1, 1997.
11             (2)  On   and  after  the  effective  date  of  this
12        amendatory Act of 1997 and before  October  1,  1997,  an
13        applicant   may   submit   or   resubmit   drawings   and
14        specifications   to  the  Department  and  pay  the  fees
15        provided in subsection (d).  If  an  applicant  pays  the
16        fees provided in subsection (d) under this paragraph (2),
17        the  provisions of subsection (b) shall apply with regard
18        to those drawings and specifications.
19        (g)  The Department shall conduct an  on-site  inspection
20    of  the  completed  project  no  later  than  30  days  after
21    notification  from  the  applicant  that the project has been
22    completed and all certifications required by  the  Department
23    have  been  received  and  accepted  by  the Department.  The
24    Department shall provide written approval  for  occupancy  to
25    the applicant within 5 working days of the Department's final
26    inspection,   provided   the   applicant   has   demonstrated
27    substantial   compliance   as  defined  by  Department  rule.
28    Occupancy of  new  major  construction  is  prohibited  until
29    Department  approval is received.   If the plans and drawings
30    are approved pursuant to subsection (b), occupancy  shall  be
31    allowed   after   any   required  health  inspection  by  the
32    Department has been conducted.
33        (h)  The Department shall establish, by rule, a procedure
34    to  conduct  interim  on-site  review  of  large  or  complex
                            -6-            LRB9001424LDdvam10
 1    construction projects.
 2    (Source: P.A. 78-227.)
 3        Section 15. The Nursing  Home  Care  Act  is  amended  by
 4    adding Section 3-202.5 as follows:
 5        (210 ILCS 45/3-202.5 new)
 6        Sec. 3-202.5. Facility plan review; fees.
 7        (a)  Before  commencing construction of a new facility or
 8    specified types of alteration or  additions  to  an  existing
 9    long  term  care  facility  involving  major construction, as
10    defined by rule by the Department, or with an estimated  cost
11    greater    than    $5,000,    architectural    drawings   and
12    specifications for the facility shall  be  submitted  to  the
13    Department  for  review  and approval. Review of drawings and
14    specifications shall be  conducted  by  an  employee  of  the
15    Department  meeting  the  qualifications  established  by the
16    Department   of    Central    Management    Services    class
17    specifications  for  such  an  individual's  position or by a
18    person contracting with the Department who meets those  class
19    specifications.    Final   approval   of   the  drawings  and
20    specifications for compliance with  design  and  construction
21    standards  shall  be  obtained from the Department before the
22    alteration, addition, or new construction is begun.
23        (b)  The Department shall approve or disapprove  drawings
24    and  specifications submitted to the Department no later than
25    60 days following receipt by the  Department.   The  drawings
26    and specifications shall be of sufficient detail, as provided
27    by  Department  rule,  to  enable  the Department to render a
28    determination of  compliance  with  design  and  construction
29    standards.  If the Department finds that the drawings are not
30    of  sufficient  detail  for  it  to render a determination of
31    compliance, the plans shall be determined  to  be  incomplete
32    and shall not be considered for purposes of initiating the 60
                            -7-            LRB9001424LDdvam10
 1    day  review  period.   If  the Department has not approved or
 2    disapproved the drawings and specifications within  60  days,
 3    the  construction,  major  alteration,  or  addition shall be
 4    deemed approved.  If  the  drawings  and  specifications  are
 5    disapproved,  the  Department  shall  state  in writing, with
 6    specificity, the reasons for  the  disapproval.   The  entity
 7    submitting   the   drawings  and  specifications  may  submit
 8    additional information in response to  the  written  comments
 9    from  the  Department  or  request  a  reconsideration of the
10    disapproval.  A final decision  of  approval  or  disapproval
11    shall be made within 45 days of the receipt of the additional
12    information  or  reconsideration  request.   If  denied,  the
13    Department shall state the specific reasons for the denial.
14        (c)  The  Department  shall  not  issue  a violation to a
15    facility as a result of a licensure or complaint survey based
16    upon the facility's physical structure if:
17             (1)  the Department reviewed and approved or  deemed
18        approved  the  drawings and specifications for compliance
19        with design and construction standards;
20             (2)  the construction, major alteration, or addition
21        was built as submitted;
22             (3)  the law or rules have not  been  amended  since
23        the original approval; and
24             (4)  the  violation  does not create a direct threat
25        to the health, safety, or welfare of a resident.
26        (d)  The Department shall charge the  following  fees  in
27    connection  with  its  reviews conducted before June 30, 2000
28    under this Section:
29             (1)  If  the   estimated   dollar   value   of   the
30        alteration,  addition,  or  new construction is $5,000 or
31        more but less than $25,000, the fee shall be the  greater
32        of $300 or 6% of the value.
33             (2)  If   the   estimated   dollar   value   of  the
34        alteration, addition, or new construction is  $25,000  or
                            -8-            LRB9001424LDdvam10
 1        more but less than $100,000, the fee shall be the greater
 2        of $1,500 or 2.4% of that value.
 3             (3)  If   the   estimated   dollar   value   of  the
 4        alteration, addition, or new construction is $100,000  or
 5        more but less than $500,000, the fee shall be the greater
 6        of $2,400 or 1.2% of that value.
 7             (4)  If   the   estimated   dollar   value   of  the
 8        alteration, addition, or new construction is $500,000  or
 9        more  but  less  than  $1,000,000,  the  fee shall be the
10        greater of $6,000 or 0.96% of that value.
11             (5)  If  the   estimated   dollar   value   of   the
12        alteration,  addition,  or new construction is $1,000,000
13        or more but less than $5,000,000, the fee  shall  be  the
14        greater of $9,600 or 0.22% of that value.
15             (6)  If   the   estimated   dollar   value   of  the
16        alteration, addition, or new construction  is  $5,000,000
17        or more, the fee shall be the greater of $11,000 or 0.11%
18        of that value, but shall not exceed $40,000.
19        The  fees provided in this subsection (d) shall not apply
20    to major construction  projects  involving  facility  changes
21    that are required by Department rule amendments.
22        The  Department  shall  not  commence  the  facility plan
23    review process under this Section until  the  applicable  fee
24    has been paid.
25        (e)  All  fees  received  by  the  Department  under this
26    Section shall be deposited  into  the  Health  Facility  Plan
27    Review  Fund,  a  special fund created in the State Treasury.
28    Moneys shall be appropriated from that Fund to the Department
29    only to pay  the  costs  of  conducting  reviews  under  this
30    Section.  None  of  the  moneys  in  the Health Facility Plan
31    Review Fund shall be used to reduce  the  amount  of  General
32    Revenue  Fund  moneys  appropriated  to  the  Department  for
33    facility plan reviews conducted pursuant to this Section.
34        (f) (1)  The  provisions  of  this amendatory Act of 1997
                            -9-            LRB9001424LDdvam10
 1        concerning drawings and specifications shall  apply  only
 2        to   drawings   and   specifications   submitted  to  the
 3        Department on or after October 1, 1997.
 4             (2)  On  and  after  the  effective  date  of   this
 5        amendatory  Act  of  1997  and before October 1, 1997, an
 6        applicant   may   submit   or   resubmit   drawings   and
 7        specifications  to  the  Department  and  pay  the   fees
 8        provided  in  subsection  (d).   If an applicant pays the
 9        fees provided in subsection (d) under this paragraph (2),
10        the provisions of subsection (b) shall apply with  regard
11        to those drawings and specifications.
12        (g)  The  Department  shall conduct an on-site inspection
13    of  the  completed  project  no  later  than  30  days  after
14    notification from the applicant that  the  project  has  been
15    completed  and  all certifications required by the Department
16    have been received  and  accepted  by  the  Department.   The
17    Department  shall  provide  written approval for occupancy to
18    the applicant within 5 working days of the Department's final
19    inspection,   provided   the   applicant   has   demonstrated
20    substantial  compliance  as  defined  by   Department   rule.
21    Occupancy  of  new  major  construction  is  prohibited until
22    Department approval is received.  If the plans  and  drawings
23    are  approved  pursuant to subsection (b), occupancy shall be
24    allowed  after  any  required  health   inspection   by   the
25    Department has been conducted.
26        (h)  The Department shall establish, by rule, a procedure
27    to  conduct  interim  on-site  review  of  large  or  complex
28    construction projects.
29        Section  20.  The  Hospital  Licensing  Act is amended by
30    changing Section 8 as follows:
31        (210 ILCS 85/8) (from Ch. 111 1/2, par. 149)
32        Sec. 8. Facility plan review; fees.
                            -10-           LRB9001424LDdvam10
 1        (a)  Before commencing construction of new facilities  or
 2    specified  types  of  alteration  or additions to an existing
 3    hospital involving major construction, as defined by rule  by
 4    the  Department,  or  with  an  estimated  cost  greater than
 5    $5,000, architectural plans and specifications therefor shall
 6    be submitted by the licensee to the Department for review and
 7    approval. In the case of the establishment of a new hospital,
 8    the person to whom the Director has  issued  a  permit  shall
 9    submit   architectural   plans   and  specifications  to  the
10    Department for review and approval. Review  of  drawings  and
11    specifications  shall  be  conducted  by  an  employee of the
12    Department meeting  the  qualifications  established  by  the
13    Department    of    Central    Management    Services   class
14    specifications for such an  individual's  position  or  by  a
15    person  contracting with the Department who meets those class
16    specifications.   Final   approval   of   the    plans    and
17    specifications  for  compliance  with design and construction
18    standards shall be obtained from the  Department  before  the
19    alteration, addition, or new construction is begun.
20        (b)  The  Department shall approve or disapprove drawings
21    and specifications submitted to the Department no later  than
22    60  days  following  receipt by the Department.  The drawings
23    and specifications shall be of sufficient detail, as provided
24    by Department rule, to enable  the  Department  to  render  a
25    determination  of  compliance  with  design  and construction
26    standards.  If the Department finds that the drawings are not
27    of sufficient detail for it  to  render  a  determination  of
28    compliance,  the  plans  shall be determined to be incomplete
29    and shall not be considered for purposes of initiating the 60
30    day review period.  If the Department  has  not  approved  or
31    disapproved  the  drawings and specifications within 60 days,
32    the construction, major  alteration,  or  addition  shall  be
33    deemed  approved.   If  the  drawings  and specifications are
34    disapproved, the Department  shall  state  in  writing,  with
                            -11-           LRB9001424LDdvam10
 1    specificity,  the  reasons  for  the disapproval.  The entity
 2    submitting  the  drawings  and  specifications   may   submit
 3    additional  information  in  response to the written comments
 4    from the Department  or  request  a  reconsideration  of  the
 5    disapproval.    A  final  decision of approval or disapproval
 6    shall be made within 45 days of the receipt of the additional
 7    information  or  reconsideration  request.   If  denied,  the
 8    Department shall state the specific reasons for the denial.
 9        (c)  The Department shall not  issue  a  violation  to  a
10    facility as a result of a licensure or complaint survey based
11    upon the facility's physical structure if:
12             (1)  the  Department reviewed and approved or deemed
13        approved the drawing and  specifications  for  compliance
14        with design and construction standards;
15             (2)  the construction, major alteration, or addition
16        was built as submitted;
17             (3)  the  law  or  rules have not been amended since
18        the original approval; and
19             (4)  the violation does not create a  direct  threat
20        to the health, safety, or welfare of a resident.
21        (d)  The  Department  shall  charge the following fees in
22    connection with its reviews conducted before  June  30,  2000
23    under this Section:
24             (1)  If   the   estimated   dollar   value   of  the
25        alteration, addition, or new construction  is  $5,000  or
26        more  but less than $25,000, the fee shall be the greater
27        of $300 or 6% of that value.
28             (2)  If  the   estimated   dollar   value   of   the
29        alteration,  addition,  or new construction is $25,000 or
30        more but less than $100,000, the fee shall be the greater
31        of $1,500 or 2.4% of that value.
32             (3)  If  the   estimated   dollar   value   of   the
33        alteration,  addition, or new construction is $100,000 or
34        more but less than $500,000, the fee shall be the greater
                            -12-           LRB9001424LDdvam10
 1        of $2,400 or 1.2% of that value.
 2             (4)  If  the   estimated   dollar   value   of   the
 3        alteration,  addition, or new construction is $500,000 or
 4        more but less than  $1,000,000,  the  fee  shall  be  the
 5        greater of $6,000 or 0.96% of that value.
 6             (5)  If   the   estimated   dollar   value   of  the
 7        alteration, addition, or new construction  is  $1,000,000
 8        or  more  but  less than $5,000,000, the fee shall be the
 9        greater of $9,600 or 0.22% of that value.
10             (6)  If  the   estimated   dollar   value   of   the
11        alteration,  addition,  or new construction is $5,000,000
12        or more, the fee shall be the greater of $11,000 or 0.11%
13        of that value, but shall not exceed $40,000.
14        The fees provided in this subsection (d) shall not  apply
15    to  major  construction  projects  involving facility changes
16    that are required by Department rule amendments.
17        The Department  shall  not  commence  the  facility  plan
18    review  process  under  this Section until the applicable fee
19    has been paid.
20        (e)  All fees  received  by  the  Department  under  this
21    Section  shall  be  deposited  into  the Health Facility Plan
22    Review Fund, a special fund created in  the  State  treasury.
23    Moneys shall be appropriated from that Fund to the Department
24    only  to  pay  the  costs  of  conducting  reviews under this
25    Section. None of the  moneys  in  the  Health  Facility  Plan
26    Review  Fund  shall  be  used to reduce the amount of General
27    Revenue  Fund  moneys  appropriated  to  the  Department  for
28    facility plan reviews conducted pursuant to this Section.
29        (f) (1)  The provisions of this amendatory  Act  of  1997
30        concerning  drawings  and specifications shall apply only
31        to  drawings  and   specifications   submitted   to   the
32        Department on or after October 1, 1997.
33             (2)  On   and  after  the  effective  date  of  this
34        amendatory Act of 1997 and before  October  1,  1997,  an
                            -13-           LRB9001424LDdvam10
 1        applicant   may   submit   or   resubmit   drawings   and
 2        specifications   to  the  Department  and  pay  the  fees
 3        provided in subsection (d).  If  an  applicant  pays  the
 4        fees provided in subsection (d) under this paragraph (2),
 5        the  provisions of subsection (b) shall apply with regard
 6        to those drawings and specifications.
 7        (g)  The Department shall conduct an  on-site  inspection
 8    of  the  completed  project  no  later  than  30  days  after
 9    notification  from  the  applicant  that the project has been
10    completed and all certifications required by  the  Department
11    have  been  received  and  accepted  by  the Department.  The
12    Department shall provide written approval  for  occupancy  to
13    the applicant within 5 working days of the Department's final
14    inspection,   provided   the   applicant   has   demonstrated
15    substantial   compliance   as  defined  by  Department  rule.
16    Occupancy of  new  major  construction  is  prohibited  until
17    Department  approval  is received.  If the plans and drawings
18    are approved pursuant to subsection (b), occupancy  shall  be
19    allowed   after   any   required  health  inspection  by  the
20    Department has been conducted.
21        (h)  The Department shall establish, by rule, a procedure
22    to  conduct  interim  on-site  review  of  large  or  complex
23    construction projects.
24    (Source: Laws 1965, p. 2350.)
25        Section 99.  Effective date.  This Act takes effect  upon
26    becoming law.".

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